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IPAC RRHTE# / 1�5 -a-� arneu County Department of Public health Improvement Permit 26872 b�ilding permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: McQ)c)uC.pa -C) ISSUED T0: SUBDIVISION St, LOT # S l NEWX REPAIR ❑ —EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S VQ� nab d nod Proposed Wastewater System Type: °la GnuCC�O,y �ySE rr, Projected Daily Flow: 4t0 GPD Number of bedrooms: IA _ Number of Occupants: 01 max Basement ❑Yes XI No Pump Required: ❑Yes '�K No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community >< Public ❑ Well Distance from well 10Z feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: \ 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health DelpRmt4n.4o way guarantees the issuaxr� ther permits. The permit holder is resp nsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site pl at, or th to . The Improvem emit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewa {e Treatment an d to co S Construe Authorization Reouired for Building Permit The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: . PROPERTY LOCATION: 1?1Z ^ SUBDIVISION 15 v mtnC— lzti \��—L LOT # 0 Facility Type: S 5o x5® �K New ❑ Expansion ❑ Repair Basement? ❑ Yes ", No Basement Fixtures? ❑ Yes �No ' 11AQ) Type of Wastewater System ** 5I c �c�y� �o nr S7 SSG (Initial) Wastewater Flow: GPD (See note below, if applicable (�� •S_ -10 Y- -i��)vGO,— I0-N (Repair) Installation Requirements /Conditions Number of trenches _-2), L$ Septic Tank Size 1®©� gallons Exact length of each trench `Z C) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. o�,t -1'3 7 inches Pump Requirements: ft. TDH vs. Conditions: (Trench bottoms shall be level to +/ -1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. * *If applicable: l undertand the system type specified is different tram the type specified on the application. I accept the rpecificationa of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject to re von if the sitsplan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is s to compliance lriQthe `he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Age Date: _ ,,SCo ction Authorization Expiration Date: HTE# i 1 J--`��l 5 QR Permit # Harnett County Department of _'� -tblie Health Site Sketch •. ISSUED TO: Authorized S .6-4 )S6 PROPERTY LOCATON: ynJZ) c, z, c W- SUBDIVISION S LOT # 1 Date: M r